Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
4010wk2
terminology
| Question | Answer |
|---|---|
| clearinghouse | an independent organization that recieves insurance claims from the physican's office, perform software edits and redistributes the claims electronically to various insurance carriers |
| code sets | any set of codes with their descriptions used to encode date elements such as tables or terms,medical concepts, medical diagnostic codes, or medical procedure codes |
| covered entity | an entity that transmits health information in electronic form in connective with a transaction covered by HIPAA |
| date elements | medical codes sets used uniformly to document why patients are seen and what is done to them during their encounter |
| digital subscriber line | a high speed connection through a telephone line jack and usually a means of accessing the internet |
| direct date entry | keying claim information directly into the layer system by accessing over modem dial up or DSL |
| electronic data interchange | the process by which understandable data items are sent back and forth via computer linkages between two or more entities that function alternatively as sender and reciever |
| electronic funds transfer | a paperless computerized system enabling funds to be debited, credited, or transferred, eliminating the need for personal handling of checks |
| electronic remittance advise | an online transaction about the status of a claim |
| encryption | to asign a code to represent data for sercuity purposes |
| HIPAA transaction and code set rule | this regulation under HIPAA defines the standardized methods for transmitting electronic health information |
| national standard format | the name of the standardization of data to reduce paper and have more accurate information and efficent organization |
| real time | online interactive communication between two computer systems allowing instant transfer of information |
| trading partner agreement | contract between the provider and a clearinghouse that submits the electronic claims on behalf of the provider |
| medical necessity | the performance of services and procedure that are consistant with the diagnosis in accordance with standards of good medical practice |
| root word | words used to look up the code correctly the first time for icd-9 disease signs and symptoms |
| chronic | a medical condition persisting over a long period of time |
| acute | a medical condition that runs a short but relatively severe course |
| encoder | add on software to practice management systems that can reduce the time it takes to build or review insurance claims before batch transmission to the carrier |
Created by:
secretsluv
Popular Medical sets